Tu1032 Endocuff-Assisted Colonoscopy is Associated with an Increase in the Mean Number of Polyps but a Similar Adenoma Detection Rate, Surveillance Interval Recommendation, and Amount of Sedation Medications

Higham-Kessler, James; Austin, Gregory L.

doi:10.1016/j.gie.2016.03.1093

Cited by 3 publications

(3 citation statements)

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“…1, Supplemental Digital Content 1, http://links.lww.com/JCG/A818). Overall, these 57 multiarm trials testing assist devices included 31,051 patients 10–67…”

Section: Resultsmentioning

confidence: 99%

Comparative Efficacy of Endoscopic Assist Devices on Colonic Adenoma Detection

Weissman

Mehta

Stein³

et al. 2022

Journal of Clinical Gastroenterology

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Background and Aims: Numerous endoscopic assist devices exist, yet data surrounding their comparative efficacy is lacking. We conducted a systematic review with network meta-analysis to determine the comparative efficacy of endoscopic assist devices on colonic adenoma detection.Methods: A systematic search was performed using multiple electronic databases through July 2020, to identify all randomized controlled trials and dual-arm observational studies compared with either other endoscopic assist devices and/or standard colonoscopy. The primary outcome was adenoma detection rate (ADR). Secondary outcomes included polyp detection rate (PDR), serrated adenoma detection rate (SADR), right-sided adenoma detection rate (RADR), and proximal adenoma detection rate (PADR).Results: Fifty-seven studies (31,051 patients) met inclusion criteria and were analyzed. Network meta-analysis identified an enhanced ADR among (clear) cap [odds ratio (

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“…1, Supplemental Digital Content 1, http://links.lww.com/JCG/A818). Overall, these 57 multiarm trials testing assist devices included 31,051 patients 10–67…”

Section: Resultsmentioning

confidence: 99%

Comparative Efficacy of Endoscopic Assist Devices on Colonic Adenoma Detection

Weissman

Mehta

Stein³

et al. 2022

Journal of Clinical Gastroenterology

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“…However, three other studies failed to reveal Endocuff superiority[54-56]. A recent meta-analysis tried to sum up these data[57].…”

Section: "Add-on” Colonoscopy Devicesmentioning

confidence: 99%

“…There is also certain amount of data from parallel design studies, reporting increased PDR/ADR[ 48 - 53 ] in the Endocuff arms published in abstract form only. However, three other studies failed to reveal Endocuff superiority[ 54 - 56 ]. A recent meta-analysis tried to sum up these data[ 57 ].…”

Section: "Add-on” Colonoscopy Devicesmentioning

confidence: 99%

New endoscopes and add-on devices to improve colonoscopy performance

Gkolfakis

Tziatzios

Dimitriadis

et al. 2017

WJG

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Colonoscopy is the gold standard for colorectal cancer prevention; however, it is still an imperfect modality. Precancerous lesions can be lost during screening examinations, thus increasing the risk of interval cancer. A variety of factors either patient-, or endoscopist dependent or even the procedure itself may contribute to loss of lesions. Sophisticated modalities including advanced technology endoscopes and add-on devices have been developed in an effort to eliminate colonoscopy’s drawbacks and maximize its ability to detect potentially culprit polyps. Novel colonoscopes aim to widen the field of view. They incorporate more than one cameras enabling simultaneous image transmission. In that way the field of view can expand up to 330°. On the other hand a plethora of add-on devices attachable on the standard colonoscope promise to detect lesions in the proximal aspect of colonic folds either by offering a retrograde view of the lumen or by straightening the haustral folds during withdrawal. In this minireview we discuss how these recent advances affect colonoscopy performance by improving its quality indicators (cecal intubation rate, adenoma detection rate) and other metrics (polyp detection rate, adenomas per colonoscopy, polyp/adenoma miss rate) associated with examination’s outcomes.

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